Individual provider Active NPI

Mark S Flora, MD

  • Family Medicine Physician
  • Brighton, CO
National Provider Identifier
1417929019
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31039 Issued in NE
Practice address
1600 Prairie Center Pkwy
Brighton, CO 80601-4006
Phone
(303) 458-1600
NPI assigned
Feb 7, 2006
Last updated
Oct 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25779 CO
Family Medicine Physician 207Q00000X 31039 NE Primary

Addresses

Primary practice location

1600 Prairie Center Pkwy
Brighton, CO 80601-4006

Mailing address

11442 Quivas Way
Westminster, CO 80234-2621
Phone (720) 261-3823

Other identifiers 2

IdentifierTypeStateIssuer
01257799MedicaidCO
930095372OtherCORR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100727000814 CO Practitioner - Family PracticePractitioner - Emergency Medicine 9133252216 Reassigns benefits to 9 organizations
I20181029001354 NE Practitioner - Family Practice 9133252216

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Platte Valley Medical Group LLCGroup PAC ID 5890054100, 120 clinicians

Practice addresses (Care Compare)

1450 Dexter St
Fort Lupton, CO 80621-1503

4859 Yampa St
Denver, CO 80249-7760
Phone (303) 498-1885

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25779COMDEmergency Medicine Physician
31039NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC Emergency Medicine Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Oct 19, 2022 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC Family Medicine CurrentSince May 27, 2018 Accepting new patients
Healogics Specialty Physicians of Colorado-Professional, LLC CurrentSince May 27, 2018 Accepting new patients
Intermountain Medical Group Denver, LLC Family Medicine CurrentSince Oct 19, 2022 Accepting new patients
Yuma District Hospital Current Accepting new patients
County of Kiowa Hospital District CurrentSince Feb 10, 2022 Accepting new patients
Yuma District Hospital CurrentSince Mar 23, 2020 Accepting new patients
Brighton Community Emergency Physicians Lpa Emergency Medicine CurrentSince Dec 1, 2011 Accepting new patients
County of Kiowa Hospital District CurrentSince Feb 10, 2022 Accepting new patients
Yuma District Hospital CurrentSince Mar 23, 2020 Accepting new patients
Platte Valley Medical Group LLC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Yuma District Hospital Current Accepting new patients
Platte Valley Medical Group, LLC Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
Platte Valley Emergency Physicians, PC Emergency Medicine Past Accepting new patients

Locations

82 Main Ave
Akron, CO 80720
Phone (970) 345-6336

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

8900 E 46th Pl
Denver, CO 80238
Phone (303) 403-6300

1450 Dexter St
Ste 102
Fort Lupton, CO 80621
Phone (303) 857-7873

1000 Lincoln St
Fort Morgan, CO 80701
Phone (970) 542-3320

9399 Crown Crest Blvd
Ste 430
Parker, CO 80138
Phone (303) 269-2310

8550 W 38th Ave
Ste 320
Wheat Ridge, CO 80033
Phone (801) 442-2647

1000 W 8th Ave
Yuma, CO 80759
Phone (970) 345-6336

1000 W 8th Ave
#C
Yuma, CO 80759
Phone (970) 848-5405

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

Interoperability endpoints

  • Direct secure messaging: mark.flora.1@15452.direct.athenahealth.com
  • Direct secure messaging: mark.flora.1@17361.direct.athenahealth.com
  • Direct secure messaging: mark.flora.2@15452.direct.athenahealth.com
  • Direct secure messaging: mark.flora.p1@direct.rwgcrhc.nextgenshare.com
  • Direct secure messaging: mflora9609@direct.intermountainhealth.org

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539648000000",
    "number": "1417929019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11442 QUIVAS WAY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342621",
            "telephone_number": "720-261-3823",
            "fax_number": "480-684-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PRAIRIE CENTER PKWY",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806014006",
            "telephone_number": "303-458-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORA",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2018-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "25779",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "31039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01257799",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930095372",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, CO

Sources for this page

Verify at the official NPI Registry.